02060034 CITY ILDING DMSSIIONPERMIT CONTRACTOR INFORMATION:
BUILDING ADDRESS: .. PERMIT NO.
1538 PRIMROSE WY ALLIANCE ROOFING 02060034
OWNER'S NAME: APPLICATION SUB DATE
RICHARD WOODBURN 1250 CAMPBELL AVE 06/05/2002
PHONE: SANITARY NO. CONTROL NO.
(408) 261-2595
Cae ZO ARCHITECT/ENGINEER: - BUILDING PERMIT INFO
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in= LICENSED CONTRACTOR'S DECLARATION Job Description'
O z m O ' 'I.hereby elRem that I am licensed under provisions of Chapter 9(commencing
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wit Sections000)of Division 3ofthe Business andf onsCride.andmylicense TEAR OFF SHAKES'. REPLACE W/ COMPOSITION
�=- mmnrime gd a S SHINGLES
z C 6 License Clas Lic.p
%o i u Date 1_ Q � Contracmr
F a O Io ARCHITECTS DECLARA ION
<j 1 understand my plans shill be used as public records
vo
ti S p O Licensed Professional
OWNER-BUILDER DECLARATION
='y 1 hf(
ereby e ...hat 1 nm exempt from the Commcum's License Law for the
t-?a following mum.(Section)031.5.Business ade:rand Professions CaAny city or county'
E x CC which requires a permit to construct,alter,improve,demolish,or repair any strucmm
at
n 3 m--poor to its issuance.also r<qubea the.ppficunt fur s.ch permit to file.signed smtu.em
tbathcislittns punumtotheM %iomofOcConvactoesLicensc w(CMpter9 'Sq.-FL�F100f�Area„ ��, auction
fconiriiericing with Section.1000)of Division 3 of the Busineis.and Raf<adnns Calel ( ,)'i'1',j?-+ '.
or that he li cxempt mcrcfmin'nnd the basis f the allegdd exempt op.Any violation -
t-of Sectio.7031.5 by any applicant for a Permit subjects the applicant to a civil Penalty
of dot more man eve hundred dollars(s50m. umber " Occupancy Type
w 1,do
owner of the and
the s,it my ensplo t in wide wages a their sola le(Sm.<mlon,
will do' and Prof si the'swcwre,C out intended Lor icense
La tl for sale(Sm. ho an -"---
`ominers and Professions Code: int Canfmcmro License Law does nm apply fo an 307 - INSULATI °red Inspections '" +•-- -
or through
of property em builds or improve therein,and who docs such work himself
ormedfarisownemp tt,pm�med .,inip that improvements ldainot inionyearOfended or . _ . _ .._6Q1 ._-._-ROOF_.-TEAR_.OF.F._.__:._.__..._ _ -_.._.... _----------__ _ _ ---—_ -_
";rmiedf - I:IChawsiedetncll Imngorrmen.flohtn sold hedn one year of ,
<h p17 ,tM1eowncrbuldcrwllAavcrhebuNenofprovngthaM1edidnotbildor 602 - ROOF PLYWOOD NAIL''
improve for pmpa.enf.ule.). 603 - ROOF BATTENS
-_ -._.'--- -----. . _ ..._..._._._.... —
_D 1.te gwneror five ...- ._.-- "-- - ------ - "
t. pmpcnY.a1.BusinissandprxfssionshlicensTheContractor's
omnorsro 604 - ROOF IN-PROGRESS -" '•
_ conswci Lathew
does
Iappl to a Busters and Protestor Cade:)The improves
to thereon, � ,-�(i., ... .• .'
License fuw contracts
f apply loan owner of property who builds se improves themon,
,_and woo es License
fLaw. . Projects wim a.contmcrorts)licensed pursuant fo.dse.
Contractors License Law_ "
❑lam exempt under Scc: B&pCfcrdM1ie reason, :.�� •. .ill:•.:`D
O'n Date'
WORKER'S COMPF,NSATION DECLARATION
FINALE
A LLG�93
o I hereby affirm aside,penalty of perjury one.f the following deductions: r P'�
1'. ❑ I have and will maintain a'Ceniticam(if'6m,cn(io self-insure for Worker's JUN 2 2002
Compensation, m provided for by Section 37W of the Labor Code, for the
p<rrormanct,of the walk for which this permit is issued. .
��fp,'��have and will maintain Worker Compensuilon Insurance,ai requited by Semiun BUILDING
1 , 1 p1
J] ha f the hint Codc,for the performance of Ne work for which This pertnh is p y'LDI I G
iss ed My W ker'i C 1mM'—s h�on Iniamnce tamer and Pobc number are.
CarseP.IICY .-
11 1,CERTIFICATION OF EXEMPTION FROM WORKERS" ,; -.' �•{67' _!,til,, 1 :.i 11 .II .
jY COMPENSATIONINSURANCE It tll. ...._-, ..._...-_. _. ._,_.. .. ......... .___....,.._...
1MI,
section need not he completed if the permit is for one hundred dollars \� - ' •t`I
(E1000 m less,)
I c nple tl at i dM1 pert n f h k f M1 h th perm t . issued 1 �, .l.la.
khall not employ any person m.y manner..i as to become subya fo.th5 Workers'
Co. tion Wwr of California.Date,
...NOTCaE TO APPLICANT:ILafder makmgthrt CeniG ..-.. . _.. ..... ... ............ .. .. .. . ........ _ ..., - ........- __... ....
PP
cam of Exemption.you should �•^ 't
Obeco b) a the WorkK Compen,t p ns of the Labor Code yo' air
Indh ith 'ply'iih. 'hp 'i m r dti , t hall be dnmed r...keJ.
" � \ =t'CONSTRUCTIOU it
LENDING AGENCY ' t II
ya lending performance ':' s , r
�-' Ih bobs tM1rth
IdM1 work h'cl m`pcit' nn.mf 'I Jn f the r .. ... ., _... - _-._.... ........ .... ._ _. ..... .
o tied fS 309] C' C) '
= Z Lent Aldms,,
sic nfytht rip cJm.ay t tlttthes an bi f to is
0 U covet 1 gre fq r PIY th II ly J county b' i tet laws I f g
W doh Id gcanswu J rir rauto epo,cmmv orrh seieymem rupon
r_W the above-ngnuineJ proppny hit mspemmn Purposes.•
es,judgments,
agree ts,cost i and e,ify and keep h may in the City or Cupeni ai agmen )
.civ Cityi ....judgm<m,,cosi and expgns,s which may m any waYPecme against said
V,� APP 'y m tfm5'g t g fan pe r 'i
APPLICANTUNDERSTANDS, nv LLOMP WITH\LL NON OVVI' % V
SOURCE REGULAI IONS ��/o Issued by: Date
&gnawrcof Applicant/Contranor�- '' "Oros J Re-TOOT$ /
H1L\RDOUS MATERIALS DISCLOSURE -
'. Wlld ,lictialo No.building aup ns acre.,ti,cadle hazardous ¢ it ....-Type of Roof.
a.do. e by to c.p t -Municipal er Chapter`Iz and m Health aner relyAll roofs.shall be tnspec[ed prior to any-roofing material bete installed..
Y
'code O Y i 2553± ) I d
g . ..,_,...
' : . vidli6<apriudant"�rmt�rei�aogi"soa��an�nreeyuiprne��o,ee�mawnien If a roof ismstalled'withoutfirstobtaining aninspeetiom Iagtee.to`remove
mii huordous air contaminants as defined by the Bay A.Air Qmlity Marg<ment
'or r °*` - '- - all tion-point source regulations,, , d will comply with -
1 lu x,read the haxallou.s materials reyuimmcnds under Chapmr'695 of me
D v t all new materials for inspection. Applicant un erstan s a0
California Health&S f ty Cale Sections 25505.25533 and 255341 understand that
occupant
h ¢ 'IJ' gd ern tc rtendyM1 d M1 d t s si, g yBrtymnutify of oc Wm of thercqu � nt M1¢h inti d be m d p int m suonce of Certificate of
°r p y GpZ. GoZ Signature of Applicant _ _ ._ . ._ __. Date
o n mo.aea d - . Dam All roof coverings to be Class `B" or better
'.� . . . . ...._ ..... .. OFFICE . . .. ...... .. _ _....
Building Division
Saw
10300 Torre Avenue
Cupertino,CA 95014.3255
Telephone: (408)777-3228
CITY OF Fax: (408)777-3333
O CUPEkTINO
Building Department
Subject: Reroofing policy for the City of Cupertino.
1. Prior to permit issuance, you must agree to comply with 1997 UBC Standards
and manufactures specifications on reroofing.
2. New roof coverings shall not be applied without first obtaining all inspection
and written approval from the building inspector. A final inspection and
approval shall be obtained from the building inspector when the reroofing is
completed.
3. All roofs shall be inspected prior to any roofing installation.
4. To receive a final sign off from the City the following steps are required.
1) Preinspection and/or tear off approval.
2) In progress inspection approval.
3) Final inspection approval.
a) Spark arrester installation.
5. If plywood is installed, a plywood nail inspection is required.
• 6. Any roofing which is applied without first obtaining an inspection,will
require the removal of all new material down to the sheathing so that the
proper City inspection can be performed.
IMPORTANT:
1. Flat roofs must have a minimum of 1/n"per foot slope and demonstrate that
there is no ponding.
2. An I.C.B.O. report is required to be on the job site at the time of inspection.
We understand the above policy on reroofing and will comply with this policy.
Homeowners Name:
Address:
Reroofing Company Name
f a
CIOV
Applicants Signature: Date:
• Joe Antonucci
(Chief Building Official)
6/25/01